| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $724.44 | $977.24 | $1,513.56 | |
Midlands
| Professional | $1,174.90 | $1,318.26 | $1,318.26 | |
Sanford Health Plan
| Professional | $588.84 | $954.99 | $1,148.15 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |